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BEHAVIORAL HEALTH AND THERAPY CLINIC NPI 1265040653


NPI Information

NPI: 1265040653
Provider Name: BEHAVIORAL HEALTH AND THERAPY CLINIC

Doing Business As: BEHAVIORAL HEALTH AND THERAPY CLINIC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
12501 PROSPERITY DR STE 330
SILVER SPRING, MD
ZIP 20904
Phone: (240) 899-5315
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BEHAVIORAL HEALTH AND THERAPY CLINIC is a psychiatric/mental health nurse practitioner in Silver Spring, MD. BEHAVIORAL HEALTH AND THERAPY CLINIC NPI is 1265040653. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Behavioral Health And Therapy Clinic.

The provider's business location address is:

12501 PROSPERITY DR STE 330
SILVER SPRING, MD
ZIP 20904-655
Phone: (240) 899-5315
Fax: (240) 645-4013

The provider's authorized official is Amaobi Hardy Agbor .
The authorized official title is Authorized Official and has the following contact phone number (301) 693-2207.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 10/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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